Thanks for Your Order!!
We want to begin processing your order, but we need you to take care of a couple of things before first.
Please follow these next steps:
- Please review the confirmation email to make sure the shipping and billing address are correct.
- If you haven’t sent us your prescription – please email or Fax that to us right away. You can just reply to the confirmation email.
- If you paid by credit or debit card – please fill out this form (go ahead and click on it now – it takes 30 seconds) to us ASAP. We are unable to process your order until we receive the signed form.
- If you paid by credit card – please contact your credit card company to authorize the charge from “Central Pharmacy” in the UK.
Best of Luck!!
Thank you. Your order has been received.
- Order number: 100007590
- Date: April 15, 2024
- Total: $5,224.00
- Payment method: Credit Card
Order details
| Product | Total |
|---|---|
| MENOPUR (MENOTROPINS) | Sold as : FSH+LH | MFG : FERRING -10 Injections. - 75 IU FSH AND 75 IU LH -10 INJ (No Needles) × 3 | $1,140.00 |
| FOLLISTIM AQ (FSH FOLLITROPIN ALPHA) | SOLD AS : PUREGON | MFG : SCHERING PLOUGH (MIN QTY 2) - 900IU × 6 | $3,456.00 |
| OVIDREL (CHORIOGONADOTROPIN ALFA) | SOLD AS : OVITRELLE | MFG : SERONO IL × 1 | $88.00 |
| GANIRELIX (ANTAGON) | SOLD AS : ORGALUTRAN | MFG: SCHERING PLOUGH - 250mcg/0.5ml - 1 Syringe × 6 | $441.00 |
| Subtotal: | $5,125.00 |
| Shipping: | $99.00 via Expedited Shipping (7 -14 Business Days) |
| Payment method: | Credit Card |
| Total: | $5,224.00 |
| Date of Birth: | 11/30/1982 |
|---|---|
| Patient First Name: | Lyndsey |
| Patient Last Name: | Chapman |
| Gender: | Female |